LOWCOUNTRY SPINE & SPORT, LLC


Address: 300 New River Pkwy, Building 2, Suite 37, Hardeeville, SC 29927-4450
Phone: 8434220781

LOWCOUNTRY SPINE & SPORT, LLC (NPI# 1356582597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356582597
Entity Type Organization
Organization Name LOWCOUNTRY SPINE & SPORT, LLC
Practice Address 300 New River Pkwy
Building 2, Suite 37
Hardeeville
SC 29927-4450
Practice Telephone 8434220781
Practice Fax Number 8002102452
Enumeration Date 2009-03-18
Last Update Date 2011-03-16
Authorized Official Name JOHN P BATSON III (OWNER)
Authorized Official Telephone 8434220781
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204C00000X Neuromusculoskeletal Medicine, Sports Medicine 22310 SC Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
22310 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 223109 05

Office Location

Street Address 300 NEW RIVER PKWY
BUILDING 2, SUITE 37
City HARDEEVILLE
State SC
Zip Code 29927-4450

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1578012134 Kandralyn Steele Nurse Practitioner 300 New River Pkwy, Suite 16, Hardeeville, SC 29927-4450 2016-09-23
1306394424 Brittany Lee Brazill Physical Therapist 300 New River Pkwy, Ste 40, Hardeeville, SC 29927-4450 2016-09-18
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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1144576612 Firstchoice Healthcare PC Pain Medicine 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 2012-08-02
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Competitor

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City HARDEEVILLE
Zip Code 29927

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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